| NPI | 1972041960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-18-32894) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL B43554192901) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2020-03-18 |